4.2 Article

Applying Evidence to Inform Carpal Tunnel Syndrome Care

期刊

JOURNAL OF HAND SURGERY-AMERICAN VOLUME
卷 46, 期 3, 页码 223-+

出版社

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.jhsa.2020.09.007

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Evidence-based care; carpal tunnel syndrome; research methodology; care quality; appropriateness

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The management of CTS has evolved with improved understanding of the condition and development of evidence-based care, but deciding on appropriate diagnostics, avoiding complications, especially in high-risk patients, and selecting surgical options remain challenging. Understanding and implementing research findings into practice are crucial for all surgeons as CTS research efforts expand.
Carpal tunnel syndrome (CTS) is one of the most common problems treated by hand surgeons. As our understanding of the condition has improved and focus on quality and evidence-based care has evolved, management of CTS has shifted as well. Although for many patients the diagnosis and treatment plan are relatively straightforward, understanding how to decide what diagnostics are appropriate, how to avoid complications especially in high-risk patients, and even which surgical option to offer remains a challenge. As CTS research efforts broaden and available evidence grows, understanding the different research findings in order to implement the evidence into practice is critical for all surgeons. In this article, we approach commonly encountered challenges in CTS management and take a methodological viewpoint to guide evidence-based practice. Copyright (C) 2021 by the American Society for Surgery of the Hand. All rights reserved.

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